Pleasantness and intensity of brushing in healthy participants and chronic pain patients. Healthy participants and FM patients rated the pleasantness (A, B) and intensity (C, D) of slow (CT-optimal) and fast brushing of the left forearm on the corresponding VAS scales. Mean ratings at baseline (before any drug administration) are displayed; error bars show SD. *Two-tailed Tukey test, p < 0.05. Lines display individual participant data. There was a significant main effect of brushing speed (slow vs fast) on pleasantness ratings (F(1,50) = 3.56, one-tailed p = 0.032 a; without males: F(1,46) = 3.76, one-tailed p = 0.027) but no main effect of group (healthy vs FM; F(1,50) = 0.41, one-tailed, p = 0.26 b; without males: F(1,46) = 0.32, one-tailed, p = 0.26). There was a significant interaction between brushing speed and group (F(1,50) = 3.32, one-tailed, p = 0.037c; Cohen’s d = 0.51; without males: F(1,46) = 3.14, one-tailed, p = 0.04; A shows mean slow–fast ratings). Post hoc Tukey tests showed that healthy participants rated slow brushing as significantly more pleasant than fast brushing (Tukey, p = 0.042), whereas FM participants did not (Tukey, p = 1.00; A shows mean slow–fast ratings). Age did not affect ratings of brushing pleasantness or interact with speed in healthy participants (F(1,26) = 0.03, p = 0.86d; F(1,26) = 0.09, p = 0.76e) or in FM patients (F(1,22) = 0.56, p = 0.46f; F(1,22) = 3.08, p = 0.09g). When depression and anxiety were added to the model, depression significantly predicted pleasantness ratings (F(1,46) =4.28, p = 0.04); anxiety did not (F(1,46) = 0.42, p = 0.52). Including these ratings in the model strengthened the group by speed interaction (F(1, 48) = 4.42, two-tailed, p = 0.041). There was a significant main effect of speed of brushing (slow vs fast) on intensity ratings (F(1,50) = 4.26, p < 0.001h; without males: F(1,46) = 20.0, p < 0.001) but no main effect of group (healthy vs FM; F(1,50) = 0.32, one-tailed, p = 0.58 i; without males: F(1,46) = 0.19, two-tailed p = 0.67). There was a significant interaction between brushing speed and participant group (F(1,50) = 4.26, p = 0.044 j; Cohen’s d = 0.57; without males: F(1,46) = 4.42, p = 0.041,). Post hoc Tukey tests showed that healthy participants rated fast brushing as more intense than slow brushing (Tukey p < 0.001), whereas FM participants did not (Tukey p = 0.24; B shows mean slow–fast ratings). Age did not affect ratings of brushing intensity or interact with speed in either healthy participants (F(1,26) = 1.09, p = 0.31k; F(1,26) = 0.11, p = 0.75l) or FM patients (F(1,22) = 0.01, p = 0.93m; F(1,22) = 0.05, p = 0.83n). Anxiety significantly predicted pleasantness ratings (F(1,46) = 6.66, p = 0.01); depression did not (F(1,46) = 1.34, p = 0.25). Including these ratings in the model weakened the group by speed interaction (F(1,48) = 3.67, two-tailed p = 0.061).